State Of California - Department Of Developmental Services in Sacramento - Nursing Facility/intermediate Care Facility
State Of California - Department Of Developmental Services - NPI 1730130097
State Of California - Department Of Developmental Services is a Nursing Facility/intermediate Care Facility in Sacramento, California. State Of California - Department Of Developmental Services practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for State Of California - Department Of Developmental Services is 1730130097. The last update date is 2021-06-29.
State Of California - Department Of Developmental Services's current location address is 1215 O Street, Sacramento, California. You can contact this provider via phone number 9166543463 and fax number 9166534587. The mailing address for State Of California - Department Of Developmental Services is 1215 O Street, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Of California - Department Of Developmental Services |
---|---|
Address | 1215 O Street, Sacramento, California |
Phone Number | 9166543463 |
Fax Number | 9166534587 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF DEPU |
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Authorized Official Name | Castaneda A Carla |
Telephone Number | 9166542822 |
NPI Number Detail
NPI Number | 1730130097 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2021-06-29 |
Provider Mailing Address Detail
Address | 1215 O Street |
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City | Sacramento |
State | California (CA) |
Post Code | 95814 |
Phone Number | 9166543463 |
Fax Number | 9166534587 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | 170000774 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique identifier code issued to State Of California - Department Of Developmental Services by the Centers for Medicare & Medicaid Services (CMS)?
The State Of California - Department Of Developmental Services has been assigned the NPI (National Provider Identifier) 1730130097. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of State Of California - Department Of Developmental Services?
The State Of California - Department Of Developmental Services is situated at 1215 O Street, in the city of Sacramento, state of CA, with the zip code 95814.
What is State Of California - Department Of Developmental Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Of California - Department Of Developmental Services is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.
When was the State Of California - Department Of Developmental Services's 1730130097 issued?
The State Of California - Department Of Developmental Services's 1730130097 was issued on 2006-05-12.
When was the State Of California - Department Of Developmental Services's information last updated?
The State Of California - Department Of Developmental Services's information was last updated on 2021-06-29.
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